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Dark green urine after head injury

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This patient’s urine was coloured green by the propofol he was given for sedation.

While this patient was otherwise asymptomatic, dark green urine can indicate propofol infusion syndrome (PRIS), a serious condition characterised by rhabdomyolysis, hyperlipidemia, acute refractory bradycardia, cardiovascular collapse, severe metabolic acidosis, and hepatomegaly.

View this and similar cases on Figure 1.

 

 

 

 

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